Like other residents of the facility, her around-the-clock care is made possible by North Carolina’s Medicaid program. Jennifer’s benefits shouldn’t be affected by looming federal cuts to Medicaid because she’s in a special coverage category for people with profound intellectual and developmental disabilities. This is where they live and live life to the fullest.”The Trump administration has not proposed eliminating or limiting Medicaid benefits for participants with intellectual or developmental disabilities. “There is no way to make the massive cuts the federal government has made without hurting people with disabilities,” Dunn said. You wind up with a less stable and overall lower-quality pool of staff available to people with disabilities when you threaten rates.